Tolterodine is used in adults to treat overactive bladder with symptoms of urinary frequency, urgency, and incontinence (urine leakage).
Tolterodine may also be used for purposes not listed in this medication guide.
Use only as directed. Tell your doctor if you use other medicines or have other medical conditions or allergies.
You should not use tolterodine if you are allergic to tolterodine or fesoterodine (Toviaz), or if you have:
trouble emptying your bladder;
a blockage in your stomach, slow digestion; or
uncontrolled narrow-angle glaucoma.
Tell your doctor if you have ever had:
a stomach or intestinal disorder;
problems with constipation;
liver disease;
kidney disease;
myasthenia gravis;
trouble emptying your bladder, or a weak stream of urine;
glaucoma; or
long QT syndrome (in you or a family member).
Tell your doctor if you are pregnant or breastfeeding.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
Take with water.
Take tolterodine with or without food, at the same times each day.
Swallow the capsule whole and do not crush, chew, break, or open it.
Store at room temperature away from moisture, heat, and light.
Skip the missed dose and use your next dose at the regular time. Do not use 2 doses in one day
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Avoid driving or hazardous activity until you know how tolterodine will affect you. Your reactions could be impaired.
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop using tolterodine and call your doctor at once if you have:
confusion, hallucinations;
severe stomach pain or constipation; or
painful or difficult urination.
Common side effects may include:
dry mouth;
dizziness;
constipation;
stomach pain; or
headache.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Usual Adult Dose for Urinary Incontinence:
Immediate release tablets:
-Initial dose: 2 mg orally 2 times a day
-Maintenance dose: 1 to 2 mg orally 2 times a day, depending on patient response and tolerability
Extended release capsules:
-Initial dose: 4 mg orally once a day
-Maintenance dose: 2 to 4 mg orally once a day, depending on patient response and tolerability
Comments:
-This drug can be taken with or without food.
-The extended release formulation should be swallowed whole.
Use: For the treatment of overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and frequency
Usual Adult Dose for Urinary Frequency:
Immediate release tablets:
-Initial dose: 2 mg orally 2 times a day
-Maintenance dose: 1 to 2 mg orally 2 times a day, depending on patient response and tolerability
Extended release capsules:
-Initial dose: 4 mg orally once a day
-Maintenance dose: 2 to 4 mg orally once a day, depending on patient response and tolerability
Comments:
-This drug can be taken with or without food.
-The extended release formulation should be swallowed whole.
Use: For the treatment of overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and frequency
Tolterodine can cause a serious heart problem. Your risk may be higher if you also use certain other medicines for infections, asthma, heart problems, high blood pressure, depression, mental illness, cancer, malaria, or HIV.
Tell your doctor about all your other medicines, especially:
cyclosporine; or
vinblastine.
This list is not complete. Other drugs may affect tolterodine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.